Cody Cleveland

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN2343882 Issued in MA

Practice address

86 Ashley Ave
West Springfield, MA 01089-1302

Phone

(413) 693-2852

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

S Lowell Kahn MD PCGroup PAC ID 1153602990, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
• Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Medicare reassignment Care Compare group NPD
• S. Lowell Kahn MD PC

  • Vascular & Interventional Radiology Physician
  • West Springfield, MA
  • NPI 1598216921
  Medicare reassignment Care Compare group NPD
• Western Mass Physician Associates Inc

  • Obstetrics & Gynecology Physician
  • Chicopee, MA
  • NPI 1922009547
  Medicare reassignment NPD
• Western Mass Physician Associates Inc

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1366087363
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Care Compare affiliation
• The Mercy Hospital Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316
  Care Compare affiliation
• The Mercy Hospital Inc

  • Rehabilitation Hospital Unit
  • Springfield, MA
  • NPI 1750360798
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1801643416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERBANK RD",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602506",
            "telephone_number": "413-387-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 ASHLEY AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891302",
            "telephone_number": "413-693-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2343882",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2343882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Cisero
• Jada Gail Clark
• Alexiana Clarke
• Cleanslate Centers, LLC
• Joanna Marie Clemens
• Shadola Cliche
• Eliana Clinton, M.ED.
• Jamie Thomas Coffin, NP
• Jamie Lee Coffman
• Allison Cohen, LICSW

• Acute Care Nurse Practitioner in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Acute Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.